Practice
  • Home
  • News
  • Pin Points
  • Events
  • Programmes
  • Resources
  • About
REFINE YOUR SEARCH
FILTERS
CLEAR FILTERS
Region
Audience
Pin Points » Pathlab update: HbA1c updated diagnostic thresholds

Pathlab update: HbA1c updated diagnostic thresholds

Waikato | Lakes | Clinical | 21/04/2026

The Diabetes National Clinical Network has issued updated HbA1c diagnostic thresholds to align New Zealand reporting with global standards and to support improved patient outcomes.

  • Diabetes: HbA1c ≥ 48 mmol/mol (lowered from the current ≥ 50 mmol/mol).
  • Prediabetes: HbA1c 42 – 47 mmol/mol (increased from the current 40 mmol/mol).
  • Normal: HbA1c < 42 mmol/mol.
  • A confirmatory test will not be required where the initial HbA1c is > 53 mmol/mol.

HbA1c result flagging will occur if the result is 42 mmol/mol or above (currently this is 40 mmol/mol). In addition, explanatory comments will be added depending on the HbA1c result (as provided by the Diabetes National Clinical Network).

The above changes were implemented by Pathlab on Wednesday 22 April, ahead of the Ministry of Health deadline of 1 July 2026.

See the Pathlab test website for a complete list of HbA1c levels and applicable comment. 

YOU MAY ALSO BE INTERESTED IN
NEWS
Position statement: National Bowel Cancer Screening Programme inclusion criteria
Pinnacle Incorporated | 17/09/2020

This week the Pinnacle Incorporated Executive Committee has written to Dr Ashley Bloomfield, Director-General of Health and Labour MPs across the Midland region asking them to reconsider lowering the screening age for Māori and Pacific people.

Read more
Advocacy Preventative care
PIN POINTS
Pathlab update: Coeliac disease algorithm change
Waikato | Lakes | Clinical | 17/11/2025

Pathlab is changing its coeliac disease testing algorithm and will no longer perform upfront total IgA testing on all coeliac requests. From 11 November 2025, total IgA will only be added when results suggest possible IgA deficiency, with anti-DGP IgG continuing to be added automatically when IgA is <0.05 g/L. This updated approach aligns with published evidence and current practice at Canterbury Health Laboratories.

Read more
PROGRAMMES
Before School Check (B4SC)
Waikato | Preventative | Under 18

The B4 School Check (B4SC) is a universal, comprehensive check for all four-year-old’s that includes height and weight, vision and hearing, immunisations, oral health, and behavioral and developmental components.

View details
RESOURCE
National Cervical Screening Programme (NCSP) screening updates
Published: 24/10/2025 | 10 files | 11 links | Document

National Cervical Screening Programme screening updates.

View resource | Download files
Taranaki
47 Molesworth Street
New Plymouth 4310
+64 6 759 4364
Tairāwhiti
Level 1
295-299 Gladstone Road (entrance via Cobden Street)
Gisborne 4010
PO Box 1188
Gisborne 4040
06 863 2661
Lakes
Level 1
95 Te Heuheu Street
Taupō 3330
PO Box 1716
Taupō 3351
+64 7 376 0060
Waikato
Norris Ward McKinnon House
Level 3
711 Victoria Street
Hamilton 3204
PO Box 983
Hamilton 3240
+64 7 839 2888
Facebook @PinnacleHealthNZ LinkedIn pinnacle-health
Copyright © 2026 Pinnacle Incorporated
Privacy policy Terms & conditions Practice update dashboard
Copyright © 2026 Pinnacle Incorporated
Privacy policy Terms & conditions Practice update dashboard